Organization
TRICOUNTY MEDICAL EQUIPMENT AND SUPPLY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY RUSSALESI (CCO)
(484) 246-9499
Entity
Organization
Contact information
Practice address
122 MILL RD STE A130, PHOENIXVILLE, PA 19460-1412
(445) 285-7609
(610) 630-8319
Mailing address
555 E NORTH LN STE 5075, CONSHOHOCKEN, PA 19428-2490
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002789000
INDEPENDANCE BLUE CROSS
—
05
—
1020539910003
—
PA
01
—
30048227
KEYSTONE MERCY
—
Enumeration date
12/28/2007
Last updated
08/18/2026
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